PREREQUISITES AND PLACEMENT IN THE CURRICULUM: Completion of all M3 Core Clerkships, and permission of the Course Director.
PURPOSE: This course is provided to enable students to have an opportunity to reexamine their knowledge and skills involved in integrating the basic sciences into the clinical sciences in the care of patients. It looks at clinical pathophysiology, clinical therapeutics, and the humanistic components of medicine again, in the light of clinical experience after a full year of clinical clerkships.
COMPETENCIES: At the completion of this course the student will be able to:
-Explain and describe the pathophysiologic aspects of complex health care problems using the principles of evidence based medicine to defend a position;
-Detail and defend therapeutic decisions in patients with complex medical problems in whom the complexity of management extends to issues of clinical therapeutics utilizing evidence-based medicine and the literature;
-Understand and explain how a patient's socio-economic, ethnic, and cultural state impacts on his/her medical problems and defend the actions to deal with them.
INSTRUCTIONAL FEATURES: This course utilizes a student-centered and student-directed approach. Most of the learning experience is done in pairs as well as independent search, review, and knowledge acquisition. Each pair selects a patient case or a medical condition to research and meet each of the competencies noted above (i.e. a minimum of one each in advanced clinical pathophysiology, clinical therapeutics, and health care issues). The last Friday afternoon of the course, 1-4pm, each pair will present their findings in a thirty-minute interactive Grand Round. Each pair will have to choose an advisor and consultants in basic science, clinical science, and education (including EBM) to assist in their research. The audience for the Grand Round will include (but not be limited to) all the students in the course, the consultants, and invited students and faculty. In addition to the Grand Round a 10-page paper, with MLA citations, is required for successful completion of the elective or selective.
When registering for the course, pairs must submit a half-page synopsis of the patient case or medical condition that will be researched, as well as the name of their advisor. Each pair will acquire their consultants as they gather data, prepare for the Grand Round and write their paper.
Please Note: Plagiarism or using previously presented material is cause for dismissal.
ASSESSMENT: Student assessment will be based on the relevance of the issues selected; the group's interaction, the quality of presentation, the appropriateness and accuracy of the information presented, as well as each student's participation in the other grand rounds. Students will be given an opportunity to complete a short course evaluation survey as well as participate in a focus group session.
Program Number: ELEC 829
Program Director: D. Mayer, M.D., Veronica Bohanan (Coordinator) firstname.lastname@example.org
Duration: 4 Weeks Decompressed (2 Weeks of Credit)
Night Call: No
Students Accepted: Min. 4 Max. 6
Housestaff Used as Faculty: No
Lectures/Conferences/Faculty Contact: N/A
Laboratory/Independent Study: N/A
Total Hours /Week: N/A
KEYWORDS: Advanced clinical pathophysiology, Clinical therapeutics, Health care delivery, Ethics, Impact of culture, socio-economics, ethnicity on health care